In cases of extracapsular rupture the silicone has escaped the fibrous shell that has developed around the breast implant. Free silicone may then be present within the soft tissues of the breast which causes scattering of the ultrasound beam in the region. This is classically described as a "snowstorm" appearance and is seen in our patient. MRI may demonstrate extracapsular silicone in cases of extracapsular rupture.